| NPI | 1568722593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C1710) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC31103) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |